ST. Jude CI Printer/Medical Device Request

Flussdiagrammknoten

• Printer or Medical Device  

• Printer

• Medical Device

• Has BME been contacted regarding this request

• Yes

• No

• Please contact BME regarding this request

• box attributes allows single selection

• New Device

• Existing/Replacement Device

• New Vendor

• Existing vender/new device

• Yes

• No

• Vendor

• Device name and model

• Yes

• No

• Type of connection:

• Gateway

• Connectivity engine

• Other

• Free Text box

• New

• Existing

• Name of Gateway

• Existing

• New

• Where to install Free Text Box

• Where is currently located Free TextBox

• Name of Device

• Location

• Date of action Calendar Selection

• New Printer

• Replacement Printer

• Printer Relocation

• Milli Laser

• Milli Label

• Milli Charting

• Non-Milli Laser (Network Printer)

• Unknown

• Please explain how this printer is to be used

• What is the location/department/area for the new printer

• Printer Name

• Asset Number

• Reason for Request

• IP Address (alphanumeric) Cerner Supported Printer Make/Model (i.e. HP LaserJet 3015N) (text box) MAC Address (alphanumeric) Department Name (text box) Department Location (Building & Floor & Room Number) (text box) Data Jack Number (numeric) Laser Printer Queue name (i.e. NS_Laser16) (alphanumeric) Label Printer Queue name (i.e. at_laser12 or lp_13) LABEL ONLY (alphanumeric)